Revision Hip Replacement
What is Revision Hip Replacement?
Revision hip replacement is the procedure performed when a previous hip replacement has failed. It is technically demanding surgery that requires detailed preoperative planning, specialised implants, and significant surgical expertise. Despite its complexity, revision hip replacement can provide substantial pain relief and restoration of function when the cause of failure is correctly identified and addressed.
Dr Razvan Stoita has specific training and experience in revision hip surgery, including complex cases involving major bone loss, chronic infection, recurrent instability and failed previous revisions. Modern advances such as three-dimensional preoperative planning, patient-specific guides and custom 3D-printed implants have transformed the management of the most complex revision cases.
Who is suitable?
Revision hip replacement is indicated when the primary implant has failed due to one or more of the following:
Dr Stoita will review your symptoms, activity goals, and any existing imaging. A detailed clinical examination is performed to confirm the diagnosis and discuss whether this procedure is the right option for you.
Initial visitX-rays, MRI or other imaging may be used to confirm the diagnosis and assess the extent of the condition. In complex cases, 3D computerised modelling may be used to assist with surgical planning.
Pre-surgeryThe procedure is performed under anaesthesia using the most appropriate surgical technique for your condition. Dr Stoita uses minimally invasive approaches where possible to reduce recovery time and optimise outcomes.
Day of procedureHospital stay is typically 3–7 days, and longer for complex revisions, two-stage infection revisions or after custom implant reconstructions. Full weight bearing is often allowed from day one, but protected weight bearing for 6–12 weeks may be required after reconstruction with structural bone graft or after a periprosthetic fracture repair.
A structured physiotherapy program is essential to regain walking, range of motion and abductor strength. Where protected weight bearing is required, this continues for 6–12 weeks depending on the type of reconstruction performed.
Continued progressive improvement in strength, walking endurance and function. Most activities of daily living are gradually resumed during this period.
Frequently Asked Questions (FAQ)
Hip arthritis usually develops over time rather than from a single cause. The most common reason is gradual wear of the joint cartilage with age. However, many people develop it earlier due to subtle issues with the shape of the hip, when the ball and socket don’t fit perfectly, it creates uneven pressure that slowly damages the joint. Previous injuries, such as fractures or dislocations, can also speed up this process. In some cases, genetics, inflammation, or increased load on the joint (including higher body weight or repetitive stress) contribute.
